Concepts and Definitions
Factors Influencing Spirituality
Spiritual Assessments
Spiritual Nursing Interventions
Other Spirituality Info
100

“Spiritism is a science which deals with the nature, origin and destiny of Spirits, as well as their relationship with the corporeal world.”

What is Spiritism?

100
The impaired ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature and/or a power greater than one's self
What is spiritual distress?
100
What does the acronym SWB mean?
What is Spiritual Well Being Scale.
100
An emergency department nurse is caring for a patient who was severely injured in a car accident. The patent's family is in the waiting room. They are crying softly. The nurse sits down next to the family, takes the mother's hand, and says, "I can only imagine how you're feeling. What can I do to help you feel more at peace right now?" In this example the nurse is demonstrating: 1. Prayer 2. Presence 3. Coaching 4. Instilling hope
What is Presence?
100
A person who does not believe in God
What is an atheist?
200

The semi-material envelope that acts as the link between the spirit (soul) and the physical body. Also know as the spiritual body.

What is the perispirit?

200
Two types of illness that may create spiritual distress within a patient
What is acute and chronic illness?
200
This assessment tool measures the patient's belief system, ethics or values, lifestyle, involvement in a spiritual community, education, and future events
What is the BELIEF assessment tool?
200
Which of the following nursing interventions support(s) a healing relationship with a patient? (Select all that apply.) 1. Praying with a patient 2. Giving pain medications before a painful procedure 3. Telling a patient that it is time to take a bath before family arrive to visit 4. Making the patent's bed following hospital protocol 5. Helping a patient see positive aspects related to a chronic illness
What is 1. Praying with a patient 5. Helping a patient see positive aspects related to a chronic illness
200
A person who believes that there is no known ultimate reality
What is an agnostic?
300
A sense of authentically connecting to one's inner self
What is Self Transcendence?
300
This type of illness causes uncertainty about what death means, making patients susceptible to spiritual distress
What is terminal illness?
300
As the nurse cares for a patient in an outpatient clinic, the patient states that he recently lost his position as a volunteer coordinator at a local community center. He expresses that he is angry with his former boss and with God. The nurse knows that the priority at this time is to assess the patient's spirituality in relation to his: 1. Vocation 2. Life satisfaction 3. Fellowship and community 4. Connectedness with his family and co-workers
What is Vocation?
300
A patient expresses the desire to learn how to meditate. What does the nurse need to do first? 1. Answer the patent's questions 2. Help the patent get into a comfortable position 3. Select a teaching environment that is free from distractions 4. Encourage the patient to meditate for 10 to 20 minutes 2 times per day
What is "Select a teaching environment that is free from distractions
300
A cultural or institutional religion such as Judaism, Buddhism, Islam or Christianity
What is Faith?
400
-The belief that a force outside of and greater than the person exists beyond the material world -An example would be the feeling of awe when holding a new baby or looking at a beautiful sunset
What is Transcendence?
400
A 62 yr old male patient has just been told that he has a terminal illness. Which of the following statements supports a nursing diagnosis of "spiritual distress related to diagnosis of terminal illness?" 1. "I have nothing to live for now." 2. "What will happen to my wife when I die?" 3. "How much longer do I have to live?" 4. "I need to go to church and pray for a miracle."
What is "I have nothing to live for now."
400
Which of the following statements made by an older adult whose husband recently died most indicates the need for follow up by the nurse? 1. "I planted a tree at church in my husband's honor." 2. "I have been unable to talk with my children lately." 3. "My friends think that I need to go to a grief support group." 4. "I believe that someday I'll meet my husband in heaven."
What is "I have been unable to talk with my children lately."
400
An older adult is receiving hospice care. Which nursing intervention(s) help the patent cope with feelings related to death and dying? (Select all that apply) 1. Teaching the patent how to use guided imagery 2. Encouraging the family to visit the patient frequently 3. Taking the patient's vital signs every time the nurse visits 4. Teaching the patient how to manage pain and take pain medications 5. Helping the patient put significant photographs in a scrapbook for the family
What is 1. Teaching the patent how to use guided imagery 2. Encouraging the family to visit the patient frequently 5. Helping the patient put significant photographs in a scrapbook for the family
400
-Can come from spirituality and faith -Multidimensional concept that provides comfort while people endure life threatening conditions, hardships and challenges
What is Hope?
500
Finding a balance between goals, values, beliefs and their relationships within themselves and others
What is Spiritual health?
500
Which of the following would be the most appropriate outcome for a patient who has a nursing diagnosis of "spiritual distress related to loneliness?" 1. Encourage the patient to meditate 2 to 3 times per week. 2. The patient will set up a time to speak to a close friend in 1 week. 3. Encourage the patient to phone his brother and set up a time to go out for dinner. 4. The patient will experience greater connections with family members in 2 months.
What is "The patient will set up a time to speak to a close friend in 1 week."
500
Which of the following questions would best assess a patient's level of connectedness? 1. What gives your life meaning? 2. Which aspects of your spirituality would you like to discuss right now? 3. Who do you consider to be the most important person in your life at this time? 4. How do you feel about the accomplishments you've made in your life so far?
What is "Who do you consider to be the most important person in your life right now?"
500
-Helping patent to observe holy or religious days and holidays -Addressing dietary needs -Providing for culturally appropriate dress and modesty -Respecting beliefs regarding healing and health -Allowing for cultural practices at or near death -Participating in prayer or meditation
What are ways that a nurse can can support the individual religious and spiritual beliefs of a patient?
500
One is a highly personal and unique to each individual. Faith and hope are closely linked to a person's spiritual well being. The other is a specific system of practices associated with a particular denomination, sect or form of worship.
What is the difference between spirituality and religion?
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